Exploring plantar pressure distribution in patients with newly diagnosed diabetes: Implications for foot ulcer prevention in an overweight Mexican population

Elevated plantar pressure (PP) constitutes a risk factor for developing foot ulcers. Once present, elevated PP increases morbidity and mortality in patients with diabetes. Given the high prevalence of overweight and obesity in the Mexican population, this study aimed to describe the magnitudes and t...

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Bibliographic Details
Published in:Endocrinología, diabetes y nutrición. diabetes y nutrición., 2024-10, Vol.71 (8), p.340-347
Main Authors: Rojas-Torres, Francis, Infanzón-Talango, Héctor, García-Ulloa, Ana Cristina, Hernández-Jiménez, Sergio, Rodríguez-Reyes, Gerardo
Format: Article
Language:English
Subjects:
Adult
Aged
Body Mass Index
Cross-Sectional Studies
Diabetes Mellitus, Type 2 - complications
Diabetes tipo 2
Diabetic Foot - epidemiology
Diabetic Foot - prevention & control
Diabetic foot ulcer
Diabetic Neuropathies - epidemiology
Diabetic Neuropathies - prevention & control
Female
Foot
Humans
Male
Mexico - epidemiology
Middle Aged
Obesity - complications
Overweight - complications
Peak plantar pressure
Plantar pressure
Presión plantar
Presión plantar pico
Pressure
Type 2 diabetes mellitus
Índice de masa corporal
Úlcera diabética
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Summary:Elevated plantar pressure (PP) constitutes a risk factor for developing foot ulcers. Once present, elevated PP increases morbidity and mortality in patients with diabetes. Given the high prevalence of overweight and obesity in the Mexican population, this study aimed to describe the magnitudes and the distribution of the PP observed in a sample of newly diagnosed patients with diabetes, adjusting for body mass index (BMI) groups (normal weight, overweight, grade I obesity, and grade II and III obesity). A total of 250 volunteers attending a comprehensive care program for the management of type 2 diabetes received foot assessments that included vascular and neurological evaluation, the identification of musculoskeletal changes, and measurements of PP. Diabetic neuropathy and peripheral arterial disease were present in 21.6% and 11.2% of all participants. Musculoskeletal alterations were present in 70.8% of participants. A positive and significant correlation (p
ISSN:2530-0180
2530-0180
DOI:10.1016/j.endien.2024.09.007